If you do not yet have a passport, you should apply for one now!

Visit the Department of State's passport information website at: www.travel.state.gov for details on where and how to apply.

Email Address

Cell Phone Number (ex: 320-240-2444)

Intended Major

Intended Minor(s)

Intended date of Graduation (Month/Year)

Have you ever traveled internationally?

Yes

No

If so, where and for how long?

How did you learn about this program?

Are you aware of the $300 deposit which must be made within 2 weeks of acceptance?

Yes

No

Please note that you must make a $300 deposit within 2 weeks of acceptance in order to secure your place. This should be done at the CSB Student Accounts Office (Main 213 at CSB). Or on-line at: https://www.csbsju.edu/CSB-Student-Accounts/Summer-Term-Trips.aspx

Are you aware that you must enroll in two credits of academic work (to be determined individually) in order to participate in this program?

Yes

No

How important is it to you that you go on this program (10 being extremely important)?

Why do you want to participate in this program? (about 50-100 words, please)

Describe your personal qualifications for this program and what you would be able to contribute to the group. (about 50-100 words, please)

What hesitations might you have about going?

Please include any additional information that may be helpful to those who are selecting candidates for this program.

Please provide the name of a CSB|SJU faculty member who is willing to be a reference for you.

If there are other CSB|SJU students you would like to recommend for this program, please provide their names.

Applications will be accepted and reviewed on a space available basis. The deadline to apply is February 1, 2014. Submit your application as soon as possible as some programs will fill before the deadline!

Make sure your application is complete before clicking submit. Your application will be forwarded to the Faculty/Program Director who will contact you regarding the next steps in the process.

I certify that the information I have provided on the application and in all other admission materials is complete, accurate and true to the best of my knowledge.

I understand that I must be in good academic standing and not on academic or disciplinary probation in order to participate on a CSB/SJU study abroad program. I further agree to the release of my disciplinary record to the Office for Education Abroad and my faculty/program director.

I hereby waive the right to examine any recommendation or evaluation form and I understand that its contents will not be shared with me.